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ST DAVIDS FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST DAVIDS FOUNDATION (EIN 74-1356589)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201113189349305796
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-14T17:19:19-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Flieller Kruger Skelton & Plyler PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1221 West Sixth Street Suite 1200AddressLine1
CityAustinCity
StateTXState
ZIP Code78701ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN741356589EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St David's FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTDANameControl
Phone5128796600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1811 Barton Springs Rd No 600AddressLine1
CityAustinCity
StateTXState
ZIP Code78704ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJim RiesName
TitleChief Financial OfficerTitle
Phone5128796603Phone
Date Signed2011-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGreg D SkeltonName
Phone5124796000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEarl MaxwellNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1811 Barton Springs RdAddressLine1
CityAustinCity
StateTXState
ZIP Code78704ZIPCode
FieldValueIRS element (for citing)
Gross Receipts76241302GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.stdavidsfoundation.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1924YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTo improve health and health care for all Central Texans.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees55TotalNbrEmployees
Total Nbr Volunteers35TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year69654ContributionsGrantsPriorYear
Contributions Grants Current Year92537ContributionsGrantsCurrentYear
Program Service Revenue Prior Year60097000ProgramServiceRevenuePriorYear
Program Service Revenue CY73399491ProgramServiceRevenueCY
Investment Income Prior Year414164InvestmentIncomePriorYear
Investment Income Current Year2746074InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year3200OtherRevenueCurrentYear
Total Revenue Prior Year60580818TotalRevenuePriorYear
Total Revenue Current Year76241302TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year15695231GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY20346273GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1927078SalariesEtcPriorYear
Salaries Etc Current Year4315166SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1328823OtherExpensePriorYear
Other Expenses Current Year2344182OtherExpensesCurrentYear
Total Expenses Prior Year18951132TotalExpensesPriorYear
Total Expenses Current Year27005621TotalExpensesCurrentYear
Revenues Less Expenses Prior Year41629686RevenuesLessExpensesPriorYear
Revenues Less Expenses CY49235681RevenuesLessExpensesCY
Total Assets BOY385469758TotalAssetsBOY
Total Assets EOY450232526TotalAssetsEOY
Total Liabilities BOY4844734TotalLiabilitiesBOY
Total Liabilities EOY8796291TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY380625024NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY441436235NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSt. David's Foundation is committed to positively impacting the health of the community. It controls hospitals dedicated to serving Central Texas under the community benefit standard,and it provides grants to programs focused on improving health and healthcare in Central Texas.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense21177518Expense
Grants20346273Grants
DescriptionThe reporting organization provides grants and corresponding program services to community organizations with the purpose of improving access to health care in Central Texas.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3023825Expense
DescriptionThe reporting organization provides free comprehensive dental care for low income children through Title 1 schools and for indigent adults in Central Texas who have no other access to services. This service is provided with fully equipped mobile dental clinics that are taken to the schools and safety-net agencies where the adults are located. Each clinic is staffed with full time dentists and support personnel. In 2010, the mobile clinics served 34 Title 1 elementary schools in 6 independent school districts. At these schools we screened 13,418 children for decay, 3,252 teeth were sealed and patient encounters totaled 5,993 for acute and restorative treatment. In addition, we gave oral health education to more than 28,000 students and adults.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Revenue73399491Revenue
DescriptionThe reporting organization controls hospitals dedicated to serving Central Texas under the community benefit standard. St. David's Healthcare Partnership includes six acute care hospitals and one rehabilitation hospital. In 2010, 56,546 patients were admitted and there were 253,871 emergency room visits.Description
FieldValueIRS element (for citing)
Total Program Service Expense24201343TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees55NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Jim RiesBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5128796603TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1811 Barton Springs Rd Suite 600AddressLine1
CityAustinCity
StateTXState
ZIP Code78704ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
H David Hughes
Board Chair15.00X000
Jack T Brown
Emeritus Director0.50X000
Ed Auler
Emeritus Director0.50X000
Charles M Christensen
Emeritus Director0.50X000
Diane Grant
Emeritus Director0.50X000
Jose Guerra
Emeritus Director0.50X000
Robena Jackson
Director5.00X000
Scott Thomas
Director0.50X000
Marc Winkelman
Director0.50X000
Barbara H Brightwell
Director0.50X000
Lynn Sherman
Director, Secretary0.50X000
Charles Chaffin
Director5.00X000
Rev David Boyd
Ex-Officio Director0.50X000
Jerry Turner
Vice-Chair5.00X000
Bob Present
Emeritus Director0.50X000
John Murray
Director5.00X000
Kathleen Angel
Director0.50X000
Ray Bonilla
Director5.00X000
Jo Anne Christian
Director0.50X000
Susie Jastrow
Director5.00X000
Mary Scott Nabors
Director5.00X000
Ray Benson
Director0.50X000
Albert Hawkins
Director0.50X000
Landy Warren
Director0.50X000
CW Hetherly
Director15.00X000
R Earl Maxwell
CEO40.00258916019378X
James J Ries
CFO40.00183810013079X
Bobbie Barker
Vice President40.00205249018791X
Carol Clark
General Counsel35.00240000011370X
Patrice Coons
Clinical Director40.00149635011970X
Monica Anderson
Dentist40.00126180012028X
Caesar Collazo
Lead Dentist40.00124297015775X
Kara Diemer
Lead Dentist40.00121401015333X
Ensy Atarod
Lead Dentist40.00115631015568X
Frank H Dick Moeller
Past President000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1525119TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation133292TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions92537AllOtherContributions
Total Contributions92537TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
St. David's HealthCare6219907238483372384833
Medicare Reimbursement62199010146581014658
FieldValueIRS element (for citing)
Total Program Service Revenue73399491TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2746074TotalRevenueColumn
Exclusion$2,746,074ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column3200TotalRevenueColumn
Exclusion$3,200ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column76241302TotalRevenueColumn
Related Or Exempt Function Income73399491RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,749,274ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total20346273Total
Program Services20346273ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total950591Total
Program Services224039ProgramServices
Management And General726552ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2637266Total
Program Services2121049ProgramServices
Management And General516217ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total78608Total
Program Services51471ProgramServices
Management And General27137ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total432575Total
Program Services331225ProgramServices
Management And General101350ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total216126Total
Program Services156186ProgramServices
Management And General59940ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total76942Total
Management And General76942ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total63835Total
Management And General63835ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total310164Total
Management And General310164ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total156912Total
Program Services64036ProgramServices
Management And General92876ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total288281Total
Management And General288281ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total179033Total
Program Services67594ProgramServices
Management And General111439ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total105658Total
Program Services76155ProgramServices
Management And General29503ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total216125Total
Management And General216125ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total69981Total
Program Services45410ProgramServices
Management And General24571ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total71054Total
Program Services41507ProgramServices
Management And General29547ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total39609Total
Management And General39609ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total213152Total
Program Services39645ProgramServices
Management And General173507ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies291803291803
Leased Equipment200004200004
Repairs and Maintenance8283882838
Employee expenses607371695943778
Books and Subscriptions384532132017133

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-120399Total
Program Services23829ProgramServices
Management And General-144228ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total27005621Total
Program Services24201343ProgramServices
Management And General2804278ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY72476BOY
EOY2443931EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY1578384EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY7117956BOY
EOY6507849EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY32950BOY
EOY138903EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis382729LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec123596LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY153311BOY
EOY259133EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY151603267BOY
EOY165536495EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY226489798BOY
EOY273767831EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY385469758BOY
EOY450232526EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY503426BOY
EOY305015EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY3000000BOY
EOY6969095EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1341308BOY
EOY1522181EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4844734BOY
EOY8796291EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY377580425BOY
EOY438204928EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY485017BOY
EOY637990EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2559582BOY
EOY2593317EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY380625024BOY
EOY441436235EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY385469758BOY
EOY450232526EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses49235681ReconcilationRevenueExpenses
Reconcilation Other Changes11575530ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$804DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$26,421OtherActivitiesAmount
Total Lobbying Expenditures IIB27225TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Other Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1i:ReturnReference
ExplanationThe Schedule K-1 from St. David's Healthcare Partnership, LP (the "Partnership") included $26,421 of lobbying expenditures, which constituted the portion of the organization's annual association dues dedicated to lobbying activities. In addition to amounts reported on the above-mentioned Schedule K-1, the reporting organization participated in direct contact with local legislators. Jon Foster, CEO of the Partnership spent 2 hours on lobbying activities during 2010. The amount reported on Line 1g above reflects the costs of these activities based upon hourly rates of compensation and allocable overhead for the officer involved.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2559582BeginningOfYearBalance
Investment Earnings Or Losses33735InvestmentEarningsOrLosses
End Of Year Balance2593317EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2500000BeginningOfYearBalance
Investment Earnings Or Losses59582InvestmentEarningsOrLosses
End Of Year Balance2559582EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance0BeginningOfYearBalance
Contributions2500000Contributions
End Of Year Balance2500000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis382729OtherCostOrOtherBasis
Depreciation123596Depreciation
Book Value259133BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings259133TotalOfBookValueLandBuildings

Other Securities OtherSecurities (9 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TIFF Absolute Return Pool II3706035F
TIFF Multi Asset Fund108199825F
TIFF Private Equity Partners 20072644972F
TIFF Private Equity Partners 20081850833F
TIFF Private Equity Partners 2009396240F
TIFF Realty & Resources III1562501F
TIFF Realty & Resources 2008863502F
TIFF Realty & Resources 2009392179F
TIFF Short Term45920408F
FieldValueIRS element (for citing)
Total Of Book Value Securities165536495TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionSt. David's Healthcare Partnership, LP, LLPDescription
Book Value273767831BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related273767831TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to St. David's Community Health Foundation HoldingsDescription
Amount$1,522,181Amount
FieldValueIRS element (for citing)
Total Of Amounts1522181TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:The Executive Staff is developing recommendations to the Board of Trustees regarding the use of the earnings generated by the Key Endowment.
Part X, Line 2: The Foundation is a public, nonprofit 501(c)(3) organization exempt from federal income taxes under Section 510(c)(3) of the Internal Revenue Code, except to the extent it has unrelated business activities. As such, no provision for federal income taxes has been made in the financial statements. The Foundation's policy is to record interest and penalty expense related to income taxes as interest and other expense, respectively. At December 31, 2010 and 2009, no interest or penalties have been or are required to be accrued. The Foundation, generally, is no longer subject to income tax examination by federal authorities for years prior to December 31, 2007.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense25372576TotalCommunityBenefitExpense
Direct Offsetting Revenue732660DirectOffsettingRevenue
Net Community Benefit Expense24639916NetCommunityBenefitExpense
Percent Of Total Expense0.06040PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense37292058TotalCommunityBenefitExpense
Direct Offsetting Revenue63185372DirectOffsettingRevenue
Net Community Benefit Expense-25893314NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense62664634TotalCommunityBenefitExpense
Direct Offsetting Revenue63918032DirectOffsettingRevenue
Net Community Benefit Expense-1253398NetCommunityBenefitExpense
Percent Of Total Expense0.06040PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense27348735TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense27348735NetCommunityBenefitExpense
Percent Of Total Expense0.06710PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3566501TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3566501NetCommunityBenefitExpense
Percent Of Total Expense0.00870PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense358312TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense358312NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense31273548TotalCommunityBenefitExpense
Net Community Benefit Expense31273548NetCommunityBenefitExpense
Percent Of Total Expense0.07670PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense93938182TotalCommunityBenefitExpense
Direct Offsetting Revenue63918032DirectOffsettingRevenue
Net Community Benefit Expense30020150NetCommunityBenefitExpense
Percent Of Total Expense0.13710PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense323606TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense323606NetCommunityBuildingExpense
Percent Of Total Expense0.01200PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense323606TotalCommunityBuildingExpense
Net Community Building Expense323606NetCommunityBuildingExpense
Percent Of Total Expense0.01200PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$5,451,831BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare116457112AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare113719709CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2737403MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnership
1 St David's HealthCare Partnership LP LLP
The Foundation owns a controlling interest in St. David's0.40590
2
HealthCare Partnership, which operated six acute care hospitals in
3
Central Texas.
FieldValueIRS element (for citing)
Number Of Hospital Facilities9NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (9 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
St David's Medical Center
1919 E 32nd StreetAustinTX78705XXX
South Austin Hospital
2901 W Ben White BlvdAustinTX78704XXX
North Austin Medical Center
312221 N Mopac ExpwyAustinTX78758XXX
Georgetown Hospital
42000 Scenic DrGeorgetownTX78626XXX
Round Rock Medical Center
52400 Round Rock AveRound RockTX78681XXX
St David's Rehabilitation Hospital
61005 E 32nd StAustinTX78705X
Bailey Square Surgery Center
71111 W 34th St 400AustinTX78705Ambulatory surgery center
South Austin Surgery Center
84207 James Casey St 203AustinTX78745Ambulatory surgery center
Heart Hospital of Austin
93801 North Lamar BlvdAustinTX78756XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Not RequiredBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Part I, Line 3c: The hospitals provide 100% financial assistance(Charity Care) for eligible patients with income equal to or less 200% of the the Federal Poverty Guidelines(FPG). For eligible patients with income over 200% FPG and equal to 500% or less than FPG, discounts are provided on a sliding scale. Eligibility is determined using various sources of documentation and income verification. The accounts for individuals without any health insurance who live in low income zip codes and who fail to respond to collection efforts are removed from accounts receivable and treated as charity care. All collections efforts cease on these accounts once classified as charity care.
Part I, Line 7: The hospitals utilize the cost to charge ratio from the audited financial statements.
Part I, L7 Col(f): Bad debts are excluded from the calculation of total expenses.
Part II: All of the hospitals are active in the community promoting promoting health of Central Texans. The Foundation is active through its grants program and collaborations in extensive community building activities.
Part III, Line 4: St. David's Foundation's proportionate share of bad debt expense from its ownership interest in St. David's Healthcare Partners, LP, LLP (the "Partnership") is reported on Schedule H, Part III, Line 2. Following is the footnote to the Partnership's audited financial statements which describes bad debt expense:"Estimated provisions for doubtful accounts are recorded to the extent it is probable that a portion or all of a particular account will not be collected. The Partnership considers a number of factors in evaluating the collectibility of accounts receivable including the age of the accounts, changes in collection patterns and other current conditions, and the composition of patient accounts by payor type.The Partnership multiplies gross charges by the cost-to-charge ratio to determine bad debt. The portion attributable to charity care is 0%."
Part III, Line 8: The Foundation has used the hositals' proportionate share of the shortfall on Medicare using the Medicare Cost Reports.
Part III, Line 9b: The organization writes off all charity care and does not pursue collection on those that qualify for charity care.
Part I, Line 7b, Column (d): Offsetting revenue in Column (d) reflects the difference between Medicare and Medicaid reimbursement rates. Even the higher Medicare reimbursement rate does not cover the cost of services.Part I, Line 7b, Column (f): Due to software limitations, the percent of total expense for Line 7b, Unreimbursed Medicaid, is reported as zero. The actual amount of Line 7b, Column (f) is -6.35%. Lines 7d and 7k, Column (f), would be -0.31% and 7.36%, respectively.Part III, Line 1: Hospitals controlled by the Foundation determine bad debt and charity care in accordance with GAAP. Whether bad debt is determined in accordance with Statement 15 requirements is a more difficult issue. Statement 15 requires hospitals to recognize revenue only when collections are reasonably assured and for an amount that is determinable. Most hospitals, including those controlled by the Foundation, use mathematical models based on prior history to determine the percentage of patient billings that is likely to result in bad debt.For this reason, and out of an abundance of caution, the Foundation has answered "no" to whether Statement 15 is followed. Despite the best efforts of HMFA to assist hospitals in determining the difference between patients who have the capacity to pay for their care but won't pay and patients who lack the capacity to pay, the determination always involves judgment. However, the hospitals controlled by the Foundation determine charity care on the core principles set forth in Statement 15, including specific criteria for charity care, a specific time of determination, record keeping, disclosure of the charity care policy and valuation of charity care at cost.
Part VI, Line 2: The Partnership Strategic Planning Process continually assesses and addresses the needs of the community. The Foundation recently participated in a capacity study for the surrounding service to assess the overall community needs. The Foundation's Grants Program addresses the needs of the service area.
Part VI, Line 3: Each hospital posts a summary of its charity care policy in admission areas, emergency rooms, and other areas where eligible patients are likely to be present. The hospitals' Condition of Admission consent informs the patients that they may be eligible for financial assistance or charity care and they may request information about these programs. A summary of the financial assistance program is provided to the patient during the intake and discharge processes. Patients are informed, where applicable, of availability of various government benefits, such as Medicaid, and assists the patients with the qualification for such programs, where applicable.
Part VI, Line 4: The hospitals are located in Travis and Williamson counties. The patients are predominately from Travis, Williamson and Hays counties. The Foundation's grant program recipients closely align with patient demographics served at the hospitals.
Part VI, Line 6: The hospitals operate as exempt hospitals; they have open emergency rooms and medical staff. The Foundation invests its share of earnings from the hospitals into programs in Central Texas that increase access to healthcare.
Part VI, Line 7: The Foundation is a general partner in St. David's Healthcare, a hospital system that meets the Community Benefit Standard in delivering hospital care to Central Texas. In addition, the Foundation has assessed the unmet healthcare needs of Central Texas and uses the earnings from the hospitals to meet those needs in many ways. The Foundation makes grants to charities in Central Texas meeting the healthcare needs of the indigent. The Foundation also makes grants to educational institutions to support medical education. The Foundation's subsidiaries give needs based scholarships to students pursuing healthcare careers. In addition, through a subsidiary, the Foundation provides free dental care to the children in more than 50 low income schools and to the adult patients of safety net clinics in Central Texas.
TXReports Filed With StatesPart VI, Line 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (69 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Austin Childrens Museum
201 Colorado StAustinTX78701742288789501(c)(3)250000Health Access Grant
Childrens Optimal Health
1345 Philomena St Ste 350AustinTX78723262559516501(c)(3)35000Health Access Grant
Friends of Public Health
100 West Third StGeorgetownTX78626510526402501(c)(3)70000Health access grant
Capital Area Mental Health Center
1106 Clayton LaneAustinTX78723740146929501(c)(3)80000Health access grant
Any Baby Can
1121 E 7th StAustinTX78702742684335501(c)(3)256046Health Access Grant
YMCA of Austin
1402 Cesar ChavezaustinTX78702741193464501(c)(3)253138Health access grant
Lone Star Circle of Care
1500 W University AveGeorgetownTX78628743001674501(c)(3)4689500Health Access Grant
Easter Seals of Central Texas
1611 Headway CirAustinTX78754750808811501(c)(3)71740Health Access Grant
Combined Community Action
165 West AveGiddingsTX78942741548511501(c)(3)50000Health Access Grant
Indigent Care Collaborative
2101 IH 35 S 500AustinTX78741311624871501(c)(3)250000Health Access Grant
Family Eldercare
2210 Hancock DrAustinTX78756742286387501(c)(3)204238Health Access Grant
Texas Scottish Rite Hospial
2222 welborn stdallasTX75219750818178501(c)(3)25000Health access grant
People's Community Clinic
2909 N IH 35AustinTX78722237087608501(c)(3)2596107Health Access Grant
Communities in Schools
3000 S IH 35AustinTX78704742369020501(c)(3)829665Health Access Grant
Waterloo Counseling Center
3000 S IH 35AustinTX78704742291792501(c)(3)149687Health Access Grant
Austin Travis County mhmr
3001 S 1st St 2AAustinTX78704741547909501(c)(3)165800Health access grant
Boys and Girls Club of the Capital Area
303 W Johanna StAustinTX78704746087356501(c)(3)103000Health Access Grant
Meals on Wheels and More
3227 E 5th StAustinTX78702237202594501(c)(3)276365Health Access Grant
LifeWorks
3700 S 1st StAustinTX78704742137189501(c)(3)150000Health Access Grant
Cancer Connection
3710 Cedar St Box 11AustinTX78731731699037501(c)(3)50937Health Access Grant
Austin Group for the Elderly
3710 Cedar St Box 2AustinTX78705742431028501(c)(3)338400Health Access Grant
Interagency Support Council of Eastern Williamson County
400 Porter StTaylorTX76574841636308501(c)(3)182540Health Access Grant
Hospice Austin
4107 Spicewood Springs RdAustinTX78759742200596501(c)(3)155000Health Access Grant
Volunteer Healthcare Clinic
4215 Medical ParkwayAustinTX78756746082464501(c)(3)65000Health Access Grant
Manos de Cristo
4911 Harmon AveAustinTX78751742511974501(c)(3)25000Health Access Grant
El Buen Samaritano
7000 WoodhueAustinTX78745742488682501(c)(3)500000Health Access Grant
New Connections Westlake Hills Pres Church
7127 Bee Caves RdAustinTX78746236393377501(c)(3)30000Health Access Grant
Greenlights for NonProfit Success
7703 N LamarAustinTX78752742992877501(c)(3)110000Health Access Grant
Austin Child Guidance Center
810 W 45th StAustinTX78751741166783501(c)(3)179472Health Access Grant
Capital Area Food Bank
8201 S CongressAustinTX78746742217350501(c)(3)160000Health Access Grant
Austin Recovery
8402 Cross Park DrAustinTX78754741609108501(c)(3)349500Health Access Grant
Texas Health Institute
8501 n mopac ste 300austinTX78759742237789501(c)(3)20000Health access grant
Wonders and Worries
923 Westbank DrAustinTX78746743012982501(c)(3)40000Health Access Grant
Capital Idea
PO Box 1784austinTX78767742893041501(c)(3)200000Health access grant
Marathon Kids
PO Box 5501AustinTX78763061722171501(c)(3)166000Health access grant
YMCA of Greater Williamson County
PO Box 819round RockTX78680742206558501(c)(3)10000Health access grant
The Care Communities
PO Box 16529AustinTX78761742845698501(c)(3)97907Health Access Grant
SafePlace
PO Box 19454AustinTX78760741977853501(c)(3)304282Health Access Grant
SIMS Foundation
PO Box 2152AustinTX78768742766013501(c)(3)100000Health Access Grant
Leander ISD
PO Box 218LeanderTX78646746014573501(c)(3)63010Health Access Grant
Hays-Caldwell Women's Center
PO Box 234San MarcosTX78667742020505501(c)(3)196091Health Access Grant
Breast Cancer Resource Center
PO Box 300040AustinTX78703742743333501(c)(3)184776Health Access Grant
Health Alliance for Austin Musicians
PO Box 301496AustinTX78703741934031501(c)(3)30000Health Access Grant
Round Rock Serving Center
PO Box 5006Round RockTX78683742454410501(c)(3)132084Health Access Grant
Front Steps
PO Box 684519AustinTX78768742824054501(c)(3)80000Health Access Grant
Family Crisis Center
PO Box 736BastropTX78602742304542501(c)(3)42000Health Access Grant
Williamson-Burnet County Opportunities
PO Box 740GeorgetownTX78627746075213501(c)(3)199695Health Access Grant
Faith in Action Caregivers
PO Box 743GeorgetownTX78627203414707501(c)(3)173550Health Access Grant
University of Texas at Austin School of Nursing
PO Box 7726AustinTX78713746000203501(c)(3)370375Health Access Grant
Texas Ramp Project
PO Box 832065RichardsonTX78083331139484501(c)(3)40000Health Access Grant
KIPP Austin
8509 FM 969 Bldg CAustinTX78724010639602501(c)(3)522536Health Access Grant
UT Elementary
2200 E 6th StAustinTX78702746000203501(c)(3)1316000Health Access Grant
Center for Child Protection
8509 FM 969 Bldg CAustinTX78724742562585501(c)(3)73600Health Access Grant
Williamson County Crisis Center
1011 Gattis School Rd Ste106Round RockTX78664742277114501(c)(3)25000Health Access Grant
YWCA of Greater Austin
2015 S I35 110AustinTX78741746053497501(c)(3)33689Health Access Grant
Austin Geriatric Center
21 Waller StAustinTX78702237033859501(c)(3)100000Health Access Grant
Austin Speach Labs
7800 Shoal Creek Blvd Ste 240SAustinTX78757262137242501(c)(3)45000Health Access Grant
Aids Services of Austin
7215 Cameron RdAustinTX78752742440845501(c)(3)437498Health Access Grant
AISD
111 W 6th St Ste D 350AustinTX78703501(c)(3)8445Health Access Grant
Austin Travis County Integral Care
PO Box 3548AustinTX78764741547909501(c)(3)12500Health Access Grant
Austin Community College Foundation
5930 Middle Fiskville RdAustinTX78752742639966501(c)(3)2030000Health Access Grant
Austin Partners in Education
701 Brazos Ste 480AustinTX78701742905690501(c)(3)10000Health Access Grant
Concordia University
11400 Concordia University DrAustinTX78726741161941501(c)(3)252982Health Access Grant
UT school of Social Work
1 University Station Mail Box D3510AustinTX78712746000203501(c)(3)135482Health Access Grant
Huston-Tillotson University
900 Chilcon StAustinTX78702741180151501(c)(3)25000Health Access Grant
Skillpoint Alliance
201 E 2nd St Ste BAustinTX78701742704188501(c)(3)20000Health Access Grant
Austin District Dental Hygentist Society
4702 Hickory HollowAustinTX78731742726070501(c)(3)10000Health Access Grant
Ride on Center for Kids
PO Box 2422GeorgetownTX78627742917659501(c)(3)7500Health Access Grant
Austin Community Foundation
PO Box 5159AustinTX78763741934036501(c)(3)9900Health Access Grant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants69TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: The Foundation monitors the use of grant funds through the following procedures: - Grantees submit quarterly reports to Program Officers 30 days after the close of each calendar quarter. Review of quarterly report information includes analysis of a) metric data for goal and outcome measures; b) demographic data; c) significant program activities, accomplishments and/or changes; and d) results of client satisfaction surveys. - Grantees submit year-end reports to Program Officers after the close of fourth quarter. Review of year-end reports includes analysis of aggregate data from quarterly reports and documentation of financial statements. - Program officers distribute summary reports to senior management and board members for analysis. - Program Officers attend grantees' board meetings at least one time per year. - Staff and board members review agency grant proposals in connection with site visits. - Staff conduct periodic site visits throughout funding year.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
R Earl Maxwell
2589160000073500120280278294000
James J Ries
183810000005604074750196889000
Bobbie Barker
2052490000062350125560224040000
Carol Clark
2400000000000113700251370000
Patrice Coons
149635000004495074750161605000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 1aReturnReference
ExplanationThe reporting organization pays for certain officers' membership at the UT Club for the convenience of the organization to use the club for business meetings. Bobbie Barker was a member of the club during 2010, and dues totaled $828 for that year.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Richard Moeller
Former President & CEO38122Richard "Dick" Moeller, former President and CEO of St. David's Foundation, currently serves as President of Enovate Enterprises, LLC, a consulting firmed hired by the foundation to provide strategic planning for CSSI, which provides electronic records for safety net clinics.0
CW Hetherly Past Chair
Family relationship with St. David's Healthcare Partnership, LP, LLP134231C.W. Hetherly's son, Michael Hetherly, is the Director - Provider Sponsored Networks, CWT Division at St. David's Healthcare Partnership, LP, LLP, an entity related by ownership to the reporting organization, or one of its affiliates. The reported amount of the transaction includes Mr. Hetherly's salary & benefits.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
New Program ServicesForm 990, Part III, line 2The Foundation began operating a dental program for the needy of Central Texas effective January 1, 2010. The program was previously operated by St. David's Foundation Community Fund. It is described in more detail on Form 990, Part III, Line 4b as one of the three largest program services of the organization.
Form 990, Part VI, Section A, line 2Charles Christensen (Trustee), Diane Grant (Trustee) and Carol Clark (General Counsel) are limited partner investors in a real estate partnership in which C.W. Hetherly (Past Chair) is the general partner. The limited partnership units were offered in a private placement to qualified investors; all investors, a larger pool than these three investors, paid the same price per unit.
Form 990, Part VI, Section A, line 2David Hughes (Chairman) is an attorney with a private law firm that has clients among the Trustees. Mr. Hughes and his firm do not provide legal services to the reporting organization.
Form 990, Part VI, Section B, line 11The reporting organization's Tax and Audit Committee reviews a draft of the Form 990 in detail prior to it being finalized. The organization's Board then reviews a draft of the Form 990 in summary prior to finalization. A final version of Form 990 is sent to the Trustees for review prior to filing.
Form 990, Part VI, Section B, line 12cThe reporting organization annually verifies compliance with the conflicts of interest policy. The individuals covered by this policy include the officers, trustees, directors, board of governors representatives. The persons covered by this policy are required to annually disclose or update the Chairman of the Board of Trustees on a form provided by the organization their interests that could give rise to conflicts of interest. For each interest disclosed to the Chairman of the Board of Trustees of the foundation, the Chairman will determine whether to: (a) take no action; (b) assure full disclosure to the Board of Trustees of the Foundation and other individuals covered by this policy; (c) ask the person to recuse from participation in related discussions or decisions within the organization; or (d) ask the person to resign from his or her position in the Organization or, if the person refuses to resign, become subject to possible removal in accordance with the Organization's removal procedures. The organization's CEO will monitor proposed or ongoing transactions for conflicts of interest and disclose them to the Chairman of the Board of Trustees in order to deal with potential or actual conflicts.
Form 990, Part VI, Section B, line 15To establish the compensation of the organization's top management official, other officers, and key employees, the foundation hires an outside consultant to conduct an intermediate sanction review. Without participation of the officer, director or other top management official under consideration, the Executive Committee reviews and approves the consultant's report. This process was last undertaken for the following officers, directors, key employees as follows: Earl Maxwell, Chief Executive Officer, December, 2010 Jim Ries, Chief Financial Officer, December, 2010 Bobbie Barker, VP of Grants & Community Programs, December, 2010 Patrice Coons, Clinical Director, Dental Programs, December, 2010 Carol Clark, Independent Legal Counsel, December, 2010 Roberto Rodriguez, M.D., December, 2010 Caesar Collazo, Dentist, December, 2010 Kara Diemer, Dentist, December, 2010 Shailee Gupta, Dentist, December, 2010 Monica Anderson, Dentist, December, 2010 Ensy Atarod, Dentist, December, 2010 Falumi Patel,Dentist, December, 2010
Form 990, Part VI, Section C, line 19The reporting organization's governing documents and conflict of interest policy are available to the public upon request. Please contact Jim Ries at 512-879-6603.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 5:Net unrealized gains on investments: 11,575,530.
Form 990, Part XII, Line 2b:The reporting organization's financials statements were audited by an independent accountant as part of consolidated financial statements. The consolidated financial statements included St. David's Foundation, St. David's Community Health Foundation Holdings, St. David's Foundation Community Fund, St. David's Community Health Foundation Initiatives, St. David's Foundation Impact Fund, LP, and St. David's Foundation Impact Fund, GP, LLC.
Form 990, Part VI, Section A, Line 1a:The Board of Trustees of the reporting organization (the "Foundation") established an Executive Committee (the "Committee") to assist the Board in fulfilling its oversight responsibility for the operations of the organization and its affiliates. The Committee has the power to conduct the business of the Foundation during the period between meetings of the Board, in accordance with the policies and expressed wishes of the Board and established protocol. The Committee is authorized to secure such resources as it reasonably needs to fulfill its responsibilities, including outside consultants, as appropriate. The Chief Executive Officer of the Foundation, or an appointed representative, serves as the Committee's staff liaison. The Committee also consists of two elected governing Board officers: Chair and Secretary, and the chairs of other governing Board sub-committees. All Committee members are governing board members, must be independent of management, and receive no compensation from the Foundation. The Board of Trustees has adopted a set of Central Governance Principles to provide a specific framework for the decision-making and governance activities of the Committee.
Officer Compensation of Related Organizations:St. David's Foundation (the "Foundation") owns a general partner interest in St. David's Healthcare Partnership, LP, LLP (the "Partnership"). The amounts below represent the Partnership's portion of compensation paid in 2010. Jon Foster, CEO Salary $649,159 Employee Benefits $ 19,792 David Wilson, CFO Salary $319,625 Employee Benefits $ 18,602
St. David's Foundation 2010 Community Benefit Report:Impact. Community. Health. With those three words as a guide, St. David's is dedicated to making a positive impact on the health of our community. St. David's Foundation includes controlling interests in six acute care hospitals and one rehabilitation hospital dedicated to serving Central Texas under the community benefit standard and a grant program focused on improving health and health care in Central Texas. IMPACT. St. David's HealthCare Partnership capital investment in the Community $750,000,000 Since inception in 1996, the St. David's hospitals have reinvested more than $750 million in spent or committed funds in capital improvements to the hospitals and other medical facilities. The Central Texas area is one of the fastest growing areas of the country, and the St. David's HealthCare Partnership is committed to offering Central Texas the highest level of health care by expanding and upgrading facilities, recruiting the best doctors and nurses, and offering advanced medical services and technology. St. David's Hospitals Scope of Service St. David's touches thousands of Central Texans each year. In 2010, that included: * Patients admitted 56,546 * Emergency room visits 253,871 COMMUNITY. Community health improvement services and community benefit operations $30,020,150 The Foundation invests its share of the earnings from St. David's HealthCare into programs in Central Texas that increase access to quality health care. The Foundation identifies areas of need, outlines goals for each area with an overall objective to make grants that will have a significant impact. The focus areas and goals include: Healthy Aging - Supporting programs that help maintain aging in place for older adults. $2.0 million in 2010 Healthy Futures - Providing funds for educational opportunities in health care research and health careers. $2.8 million in 2010 Healthy Living - Promoting health and wellness through healthy diet and exercise. $2.7 million in 2010 Healthy Minds - Supporting behavioral health programs in schools, health clinics and community non-profits. $4.0 million in 2010 Healthy People - Improving access to health care for low income Central Texans. $7.6 million in 2010 Healthy Smiles - Offering free dental services to underserved children in six school districts and families at safety net clinics. $4.2 million in 2010 With so many issues affecting the health and well-being of Central Texans, the Foundation's mission is to overcome these challenges so everyone has an opportunity to receive the best health care possible. We believe that by taking the initiative to understand these direct problems, we can wisely fund programs that are innovative and surpass the expectations of the people we serve. Covering more than five counties in Central Texas, in 2010 the Foundation helped more than 57 agencies. * St. David's Foundation Grants $20,346,273 * St. David's Foundation Grants Administration $831,243 St. David's Healthcare Partnership also provides community health improvement services and community benefit operations. The Foundation share was $5.7 million in 2010. With one of the largest fleets of mobile dental clinics in the country, St. David's Dental Program offers free dental care to children at Title I elementary schools in Central Texas, as well as to adults referred by area clinics and the Health Alliance for Austin Musicians (HAAM). Each of the six vans is equipped with two dental exam rooms, digital x-rays, and computer workstations. The vans are staffed by licensed dentists, hygienists, and dental assistants. In 2010, St. David's Dental Program treated 4,686 students free of charge at 34 schools throughout Central Texas. The schools eligible for the program have a Title I designation and more than half of the student population participates in free lunch programs. St. David's Dental Program employs two oral health educators who travel to schools to teach children about good dental health care and nutrition. In 2010, the educators visited nearly 50 schools, where they provided classroom training, as well as free toothbrushes and toothpaste, to more than 28,000 students and their parents. As of 2010, the Dental Program became a part of St. David's Foundation. HEALTH. St. David's Foundation Charity Care $24,639,916 The health care system, St. David's HealthCare, is a partnership between St. David's Foundation (a general partner with a controlling governance interest) and HCA, and operates as an exempt hospital. The St. David's hospitals provide a substantial amount of charity care to the elderly, indigent, and economically disadvantaged in Central Texas. All patients are admitted to emergency rooms regardless of their ability to pay. If further acute inpatient care is required, patients from the emergency department are admitted to the hospital, also without regard to their ability to pay. The amount represents St. David's Foundation's proportionate share of the Partnership's charity care and charity care provided by the dental program. Health Professionals Education $3,566,501 . The Foundation's share of the Partnership's health professional education was $802,282.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
St David's Community Health Foundation Holdings
811 Barton Springs Rd Suite 600AustinTX78704742206098Holds endowment funds used to assist the needy of Central TexasTX501(c)(3)Sec 170 (b)(1)(A)(viSt David's Foundation1
St David's Foundation Community Fund
811 Barton Springs Rd Suite 600AustinTX78704742898888Provides Scholarships to Needy Students in Central TexasTX501(c)(3)Sec 170 (b)(1)(A)(viSt David's Foundation1
St David's Community Health Foundation Initiatives
811 Barton Springs Rd Suite 600AustinTX78704270112979Supports St. David's Foundation Community FundTX501(c)(3)Sec 509(a)(3), ISt David's Foundation Community Fund1

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
St David's Healthcare Partnership LP LLP
98 San Jacinto Ste 1800AustinTX78701742781812Owns & operates 6 acute care hospitals in Central TXTXN/ARelated63511250359942494010.40590
Bailey Square Ambulatory Surgical Center Ltd
98 San Jacinto Ste 1800AustinTX78701752467365Ambulatory surgery centerTXN/A
South Austin Surgery Center Ltd
98 San Jacinto Ste 1800AustinTX78701621775267Ambulatory surgery centerTXN/A
Leadership Healthcare Holdings II LP LLP
98 San Jacinto Ste 1800AustinTX78701341996283Owns an interest in a radiology centerTXN/A
Leadership Healthcare Holdings LP LLP
98 San Jacinto Ste 1800AustinTX78701203151012Owns majority interests in ambulatory surgery centersTXN/A
Oakwood Surgery Center Ltd
98 San Jacinto Ste 1800AustinTX78701621641024Ambulatory surgery centerTXN/A
North Austin Surgery Center LP
98 San Jacinto Ste 1800AustinTX78701200648730Ambulatory surgery centerTXN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
St David's Foundation Impact Fund LP
811 Barton Springs Rd Ste 600AustinTX78704341996279Owns indirect interest in a radiology center; makes research grantsTXN/AC
St David's Foundation Impact Fund GP LLC
811 Barton Springs Rd Ste 600AustinTX78704341996272Owns indirect interest in a radiology center; makes research grantsTXN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1St David's Foundation Community FundBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeJTransactionType
Amount Involved200004AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination